Authorization Coordinator - Full Time, Days - Simi Valley Clinic

Job DescriptionAdventist Health is more than an award-winning
health system. We provide whole-person care to our communities and
champion the greater good - from the operating room to the
boardroom, we are driven by our unique passion to live God's love
through health, wholeness and hope. From Oregon to Oahu, we have a
calling to always do more. Now is your chance to apply your passion
to our mission.

We're looking for someone to join our team as a Authorization
Coordinator who:

Responsible for management of prior authorizations of all
activities requiring referrals for procedures, serves as the key
coordinator and liaison whose primary role is to expedite the
collection process.Essential Functions:

Performs daily reconciliation of scheduled procedures,
documenting authorization numbers obtained by others, as well as
obtaining any authorizations and retroactive authorizations as
needed. Serves as the coordinator for scheduled and pre-authorized
procedures.

Serves as an authoritative source to reconcile and update the
authorization numbers and generate a work list of authorizations
needed. Communicates with insurance providers about the patient's
medical necessity, obtain authorization for needed authorizations
and reconcile to the authorization database and/or hospital
systems.

Corrects inaccurate information, CPT and ICD9 codes that
prohibit pre-authorization being secured and charges being entered
into billing system.

Performs other job-related duties as assigned.

Job QualificationYou'll be successful with the following
qualifications:

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